Two Digit Program Code Technical Advisory Group

To assess current state, impacts and Provider/Plan operations while developing best practices for a consistent methodology to accurately gather Prepaid Medical Assistance Plan (PMAP) information needed for various reporting needs of the Minnesota Department of Health (MDH), Department of Humans services (DHS) and Noridian-Medicare.

Work plan and/or accomplishments

Phase I – completion 2010:

Develop Best Practice for the Eligibility Inquiry and Response (270/271) and Payment Remittance Advice (835) transactions for reporting of two-digit DHS program code data.

Phase II – completion 2011:

Develop Best Practice for Information Sharing of claims and encounter Data between Providers/Plans/State and Federal Agencies